Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.52 / $1,245.00 / $7,362.00	Facility		$627.52	$1,245.00	$7,362.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $627.52 / $875.76 / $1,595.82	Facility		$627.52	$875.76	$1,595.82
United Facility/Professional Facility Modifier Low / Median / High Price $6,688.00 / $15,545.00 / $22,780.00	Facility		$6,688.00	$15,545.00	$22,780.00
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $4,158.97 / $12,000.00 / $14,302.50	Facility		$4,158.97	$12,000.00	$14,302.50